NAMs Menopause Certification Exam With Question And Correct Answer

NAMs Menopause Certification Exam With Question And Correct Answer HPO axis theory and the menopause transition - ANSWER It is felt that the HPO axis may become less sensitive to estrogen, so even with good follicle growth and estradiol secretion, LH surges can fail which can lead to more cycle irregularity. In the first year after the FMP, there is no production of what hormone? - ANSWER progesterone What region of the adrenal gland secretes the androgens? - ANSWER zona reticularis what are considered the 'adrenal androgens'? - ANSWER DHEA, DHEAS, Androstenedione. Aldosterone secretion from the zona reticularis in the adrenal gland is regulated by 3 main factors. - ANSWER Angiotensin II, potassium concentration, adrenocorticotropic hormone secreted by the anterior pituitary. What part of the pituitary gland secretes adrenocorticotropic hormone? - ANSWER Anterior pituitary. The posterior only secretes vasopressin and oxytosin. Cortisol and HRT - ANSWER Most serum cortisol circulates bound to cortisol binding globulin. Oral estrogen increases the cortisol binding globulin, which increases total cortisol concentration. Oral tamoxifen acts similarly. Transdermal does not increase it, so it has a minimal effect on serum cortisol concentration